US Ebola Patient's Sister: Brother Told Hospital He Had Been to Liberia

The first patient to be diagnosed with Ebola in a U.S.
hospital was evaluated initially and turned away, a critical missed opportunity
that could result in others being exposed to the deadly virus, infectious
disease experts said.

On Wednesday, the patient's sister raised further questions by saying her
brother says he told relatives he notified officials the first time he went to
the hospital that he was visiting from Liberia, one of the worst-hit African nations
by the disease.

Mai Wureh says her brother, Thomas Eric Duncan, went to a
Dallas emergency room on Friday and they sent him home with antibiotics. She
says he said hospital officials asked for his Social Security number and he
said that he didn't have one because he was visiting from Liberia.

Duncan arrived in the U.S. on Sept. 20 to be with relatives
in Dallas. He began to develop symptoms last Wednesday and sought care two days
later. He was released and returned to the hospital and was admitted Sunday.

On the patient's first visit to Texas Health Presbyterian Hospitalin Dallas last Friday, he walked into the
hospital presenting "non-specific symptoms" and was sent home with a
prescription for antibiotics, Dr. Edward Goodman, an infectious disease
specialist at the hospital, told a news conference on Tuesday.

On the second visit two days later, the patient, who has not
been identified, arrived by ambulance, potentially putting at risk the
emergency responders who transported the patient that Sunday. They have been
quarantined but so far have tested negative for the virus.

For months, the U.S. Centers for Disease Control and Prevention (CDC)has been warning American hospitals that Ebola
was just a plane ride away. The CDC has urged hospital emergency department
staff to ask patients whether they have recently traveled to Liberia, Sierra
Leone or Guinea, the three countries hardest hit by the worst Ebola outbreak on
record.

At least 3,091 people have died from Ebola since the West
African outbreak was first reported in a remote forest region of Guinea in
March.

It was only on that second visit on Sunday, however, that
the hospital learned that the patient had recently arrived in the United States
from Liberia and admitted him to an isolation unit.

Dr. Goodman said the hospital is reviewing what they might
have missed on the patient's initial visit. "Our staff is thoroughly
trained on infectious disease protocols. We have been meeting literally for
weeks in anticipation of such an event," he said.

In the early stages of infection, Ebola resembles many other viral illnesses,
causing headache, fever, fatigue, muscle pain and sore throat, which is why
health experts stress the need to ask about travel histories.

The two-day lag "is a critical point," said
infectious disease expert Dr. Michael Osterholm of the University of Minnesota.
"It is going to be very important to go back and look at this and ask
basic questions about what happened and could it have been handled
differently" so the patient was not in the community and at home for two
days while he was contagious.

If he appeared to have Ebola-like symptoms, asking about
travel history should have been a tipoff to test for that disease, Osterholm
said.

"Once someone hits a healthcare setting, asking about
travel history should be a standard question today," he said.

CDC Director Dr. Thomas Friedensaid
in a news conference that it is possible some people who came in contact with
the man could become infected with Ebola, but it probably would only be a
handful of people, mostly family members.

Osterholm was also struck by the fact that the man was
apparently not a healthcare worker caring for Ebola patients in West Africa, as
were five other patients exposed to the disease there and were airlifted back
to the United States for treatment.

That raises questions about how the Texas patient contracted
the disease.

"In any kind of emergency you wish things could have
gone a little bit quicker," said Gerald Parker, vice president for Public
Health Preparedness and Response at Texas A&M Health Science Center,
referring to the two-day lag between when the patient sought treatment and when
he was admitted to the hospital. "But I still give the hospital, state and
federal officials high marks in this regard."

Parker said it is not a surprise to anyone in the public health community that
the United States has a case of Ebola, "but it underscores that Ebola is a
global and national security issue and that we need to double down on our
efforts to help West Africa get this outbreak under control."

Epidemiologist Anne Rimoin of the University of California
Los Angeles was not overly concerned about the time lag, given the fact that
Ebola can only spread through direct contact with the bodily fluids of an
infected patient.

"Until someone becomes very, very ill they are not very
contagious," said Rimoin, who was flying to the Democratic Republic of
Congoon Wednesday to conduct
public health research there. The hospital "probably suspected typhoid or
malaria, which is far more common."

Note: Jim Yong Kim was
a guest at George Soros’s2013 wedding, and the director,
HIV-AIDS department for the World Health
Organization.

Thomas R. Frieden
is the U.S. representative nominee for the World
Health Organization, the director at the Centers for Disease Control and
Prevention (CDC) for the Barack
Obama administration, and was the commissioner for the New York City
Health Department.

CDC Foundation
is a foundation for the Centers for Disease Control and Prevention (CDC).

Elaine
L. Chao is a director at the Bloomberg Family Foundation, and a trustee at the New
York-Presbyterian Hospital.

John J. Mack is the
chairman for the New York-Presbyterian Hospital, a director at the Bloomberg Family Foundation, an advisory board
member for Everytown for Gun Safety, and was a benefactor for the Harlem
Children's Zone.

Michael R.
Bloomberg is the founder for the Bloomberg Family Foundation, the founder of Everytown for Gun Safety,
was the New York (NY) mayor, and a benefactor for the Harlem
Children's Zone.

Richard S. Fuld
Jr. was a benefactor for the Harlem
Children's Zone, and is a trustee at the New York-Presbyterian Hospital.

George
Soros was a benefactor for the Harlem Children's Zone, married in 2013, a benefactor for
the Human Rights Watch, the chairman for the Foundation to Promote
Open Society, and his daughter is Andrea Soros.

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